FRANKLIN C WAGNER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

FRANKLIN

Middle

Last Name

WAGNER

Suffix

JR MD

Business Name

FRANKLIN C WAGNER JR MD

Original Issue Date

02/03/1999

Effective Date

02/03/1999

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006